I’ve been in an IOP group for my eating disorder for about a month now. My dietitian, who runs the nutrition group and is my individual provider, has made a couple of suspect comments previously (“menstruating people” “men and women and people who are non-binary” etc.), but today really took the cake.
We’ve been talking about diet culture this week, and somehow she’s managed to discuss the expectation of people to be thin, how health studies are done on one group of people and applied to others who have different health needs, and how society is so focused in people’s bodies as a measure of their worth, without once mentioning women specifically.
Today, however, she made a point to bring up transphobia.
When we were talking about the societal idea that you can make judgments about a person’s health just by looking at their body, she decides it’s a great time to explain how this is especially a bad thing for trans people, because something something we can’t know they’re in bad health just because they’re taking hormones.
I’m so angry. I’ve been biting my tongue with some of my rad fem takes because I don’t want to bring politics into therapy but holy cult indoctrination batman. None of us in this group are even trans identifying!
So instead of dealing with it assertively, telling her that actually cross-sex hormones ARE incredibly bad for your health, or even aggressively—how can you possibly be so fucking blind to not realize that body dysmorphia is body dysmorphia whether it’s trans or ED??—I just sat there quietly and stewed, until the end of group when I spewed out that we need to be talking about women and inarticulately and passive-aggressively expressed my anger about the female erasure perpetuated by the group leader.
After group I was somehow able to communicate to another facilitator that the problem was her coworker, so I’ll getting a new dietitian for individual at least. Maybe next time she mentions something stupid in group I’ll have the courage to correct her.
How do you deal with TRAs as mental healthcare providers?